Patient Engagement and Continuity of Care Coordinator

Job Description

Job Description

Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most – at home.

Pinnacle Home Care, Florida’s largest Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Patient Engagement and Continuity of Care Coordinator to join our award-winning team.

Key Responsibilities

• Patient Engagement and Outreach.
• Initiate follow-up calls, surveys, and wellness checks with patients post-discharge.
• Ensure that patient interactions are empathetic, thorough, and focused on understanding the patient’s health status and care needs.
• Identify opportunities for service reengagement based on patient needs and collaborate with clinical teams to reinitiate care plans as appropriate.
• Quality Assurance and Compliance to ensure all outreach efforts comply with industry regulations, including HIPAA and Medicare requirements.
• Track and report on key performance indicators, including readmission rates, patient satisfaction, and engagement metrics.
• Work closely with the Quality Assurance team to ensure high standards of service and follow-up.
• Data Analysis and Reporting to analyze data on patient outcomes, service utilization, and engagement rates to identify trends and opportunities for improvement.
• Provide regular reports to senior leadership, highlighting program successes, challenges, and areas for development.
• Utilize data insights to refine patient outreach strategies, tailor communications, and adjust resources as necessary.

Qualifications

• A High School Diploma, a degree in Nursing (LPN/RN), Social Work, or a related field, and relevant experience are preferred.
• Experience: Minimum of 2-5 years in healthcare, with experience in patient engagement, case management, or transitional care programs in a home health, hospital, or related setting preferred.
• Strong knowledge of home health regulations, patient care standards, and HIPAA compliance.
• Proficiency in healthcare technology systems, such as EHR and CRM tools, for data tracking and analysis.
• Excellent communication and interpersonal skills, with the ability to engage compassionately and professionally with patients and families.
• Analytical mindset with strong problem-solving skills and attention to detail.

Why Choose Pinnacle?

• Personalized, One-on-One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes.
• Growth & Stability: Over two decades as Florida’s largest home health agency.
• Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
• Competitive Benefits & Perks: Including Daily Pay (work today, get paid tomorrow!) and an employee referral program where you can earn rewards.
• Recognized Excellence: Ranked as a USA Today Top Workplace.
• Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities.
• Supportive & Fun Culture: Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment.

Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race, religion, age, gender, national origin, disability, veteran status, or other legally protected characteristics.

Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!